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NPI Code Detail

MEDICARE: EMMETT HANDY

MEDICARE: EMMETT HANDY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1033620505
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMETT HANDY
Provider Business Mailing Address
First Line : 3656 N RANCHO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-3172
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3656 N RANCHO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-3172
Country : US
Telephone Number : 702-916-2840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2017
Last Update Date : 10/23/2017

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Directions to “ EMMETT HANDY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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